MISS KELLY MOZELLE BOLLINGER M.ED. LPC CACII NPI 1043564453

NPI Information

NPI: 1043564453
Provider Name: MISS KELLY MOZELLE BOLLINGER, M.ED. LPC CACII
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
735 MCMILLAN RD
CLEMSON, SC
ZIP 29634
Phone: (864) 656-2451
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MISS Kelly Mozelle Bollinger, M.ED. LPC CACII is an addiction (substance use disorder) counselor in Clemson, SC. MISS Kelly Mozelle Bollinger, M.ED. LPC CACII NPI is 1043564453. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

735 MCMILLAN RD
CLEMSON, SC
ZIP 29634-022
Phone: (864) 656-2451
Fax: (864) 656-0760

The enumeration date for this NPI number is 11/7/2012 and was last updated on 1/2/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		5043	SOUTH CAROLINA	No
2	101YM0800X	Counselor	Mental Health	5043	SOUTH CAROLINA	No
3	101YP2500X	Counselor	Professional	5043	SOUTH CAROLINA	No
4	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1102244	SOUTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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